# WELLSTREET OF GEORGIA PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Piedmont Urgent Care by Wellstreet
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245998079
- **Authorized official:** KATHARYN CASSARINO (PRACTICE MANAGER)
- **Authorized official phone:** (678) 414-2824

## Contact information

- **Practice address:** 2976 CHAPEL HILL RD, DOUGLASVILLE, GA 30135-1733
- **Practice address phone:** (912) 225-5325
- **Practice address fax:** (912) 243-9650
- **Mailing address:** 3350 RIVERWOOD PKWY SE STE 1850, ATLANTA, GA 30339-3300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 11/29/2021
- **Last updated:** 11/29/2021